DNOS Board Application
I’m interested in being an active Board of Trustee for Disability Network of Ohio-Solidarity.
Signature
___________________________________Date______________
Name of prospective board member:
__________________________________________
Title: ________________________Individual__________
Parent
__________________
Organization:_______________________________________________
Address:
_________________________________________________
City_______________________
State_________Zip:_______________
Telephone
Day_______________________Evening:_______________________
E–mail
Address: __________________________________________________________
Special skills
ÿ
Fund
Raising
ÿ Personnel/Human Resources
ÿ Finances
ÿ
Grantmanship
ÿ
Business
ÿ
Legal
ÿ Marketing/Public Relation
ÿ
Technology
ÿ
Other _____
ÿ
Foundation
– Corporation – Government giving
Professional background
ÿ
For – profit business ÿ Nonprofit organization
ÿ
Government
ÿ
Other
______________________________________
Other affiliations:
__________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Other board service:
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Other pertinent information:
________________________________________________________________________________________________________________________________________________
Please complete the above
information and attach your resume. Mail
everything to Disability Network of Ohio-Solidarity, 118 W. Sunrise Ave.,
Trotwood, OH 45426
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